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INSPECTION NOTICE
! G ,/ of Tigard Building Department
( 12420 S.W. Main St.
f i Bard,Oregon 97223
Phone: 639.4171
Type of Inspection -- —.���*t m ---------- -----
Date Requested 7 ' 4- �..3 Time_ X— A.M. —_P.M.
{ Address At,41/ r�" _— Permit # _
I Owner Lot #
Builder .
The following Building Code deficiencies are required to be corrected:
y
i
Presented to _Y Approved
Inspector U Disapproved
Date — �
CALL FOR REINSPF,CTION
❑ YES []?'NO
M
BUILDING PERMIT APPLICATION TIGARD DATE_ ' 19 44
THE UNDERSIGNED HEREBY APPLIE=S FOR A PERMIT FOR THE WORK HEREIN INDICATE[) BUILDER PHONE —
OR AS SH 'WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE 132 l.ck i -...xl
OWNER dark ,2rSt ProperriegOilAtDRESS [2.440 Sll r1 L., ,^•v,.•. LOT NO. --
ARCHITECT
ENGINEER
BUILDER .lam ADDRESS 110 S'.1 Fir Loop it 140 DESIGNER
STRUCTURE 0 NEW ❑ RE► JDEL ❑ ADDITION— ❑ REPAIR (-1 RENEWAL ❑ FIRE DAMAGE L' DEMULITION
E3 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT_11 GARAGE ❑ STORAGE_❑ SLAB❑ FENCE
OCCUPANCY LAND USE Z- c L BLDG.TYPE `' ' FIRE ZONE=__ PLAN CHECK BY �I � HEAT__'1t'c t•-
ConBtruct Rim;le family dwoll.inlx arattnebe r.ar.%,,v
/';ee (;orrec;tion 'Sheet attached. 3 3edroonu%
SEWER PERMIT# 75'98
OCC.LOAD FLOOR LOAD 2 HEIGHT 2 NO.STORIES '1REA NO.BEDROOMS ..I VALUE 52.^10
,--BUILDING DEPARTMENT _ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE —
Permit 292.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGI ILATIONS CONTAINED IN THE BUILDING CODE, • .G
t �1.Rr^ REGULATIONS AND ALL APPLICABLE CODES A JD ORDINANCF3, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
4� I. WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENAN S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMI gal REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex I I.C•;i
t;91.43 SDC— 4
Total _ r ___ T��__.,"_.__
By d10 i PDCM,+ APPLICANT OR ADEN_(T
— -_ .--�lWt1 - Receipt No. ,r �,. ver 1 ` f �d t+� GC p •��
Approved AooRF%S "
DATE INSP, TYPE INSPECTION REMARKS PLUMBING D1',T9
-,at; actor
Permit No _kI'�
Rojoh-in
Fixt6re
Mz
aLl?- 8-3 HEATING
Contractor
Permit No.
Gas or 01 1
Rough-in
Final
SEWER
I Final
DRIVEWAY
Final
Storm Drainer
(Rain Drain)Final
Sideirmik
Curb&Street Final
Approach
BLOC. DEPT.FIN/L TEMPORARY CERTIFICATE OCCUPANCY
CCRTIrICATr OCCUPANCY Final
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE__ lq�a
THE UNDERSIGNED HERFDY APPLIES FOR A PE.9 AIT FOR TIME WORK HEREIN IN Dl' ;TED BUILOPP.PRONE
OR AS SHOWN AN(D�APPRO4V�ED IN THE ACCOMPANYING PLANS AN�DjSP CIF�IICATIONS. OWNER PHONE _
1?i� r�Bf�DRESS ��,�C IZ T/ �'Nl�� . LOT NO. /C 2
OYV' r. _
—� p I ARCHITECT
ENGINEER
BUILDER a�(r+ ADDRESS*S' fr1�(,oM J70 DESIGNER sM�_
STRUCTURE NEVY _❑ REMODEL ❑ ADDITION ❑ REP�AIRT�' ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEIAO LITTON
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STOR _❑_SLAB❑ FENCE
O%GUPANCYLANDUSEZONE _ _BLOG.TYPE FIRE ZONE. r PLANCHECKBY — HEAT—JA .
J
SEWERPERMITM
—
OCC.LOAD FLOOR LOAD , ) HEIGHT �� NO.STORIES- AREA `00e NO.BEDROOMS VALU&SZ
BUILDING DEPARTMENT SET BACKS FRONT ,20 REAR _ LEFT SIDE _^ RIGHT SIDE
Permit 2.00 THIS PERMIT IS IS :'F^ S"SJECT TO THE REGULATIONS CONTAINED IN TNF BUILDING CODE.,ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check �(/ �'�+0 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CUMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV;
ulr
Stetal �-_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_ _ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax (�•G8
SDC— r
Total ---
PDCN AP ANT OR AGENT - ---By
Receipt No.
Approved _ _ _ ADDRESS — v PHONE
SOC - O�
PDC -
SEWER CONNECTION
SEWER INSPECTION $ 3J
SEWER SURCHARGE
(,n morit c • J.
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A
PL40
30 tic.
400